The association of gingivitis and periodontitis with ischemic stroke

Abstract

Periodontitis is an independent risk factor for cerebral ischemia and acute exacerbation of inflammatory processes in the periodontium might be a trigger for the event of cerebral ischemia.

Periodontitis as a risk factor of stroke: a review of literature

“…Smin et al performed measurements at six sites of each tooth present, while other researchers evaluated four sites [45,46,48,49,50]. All these researchers have confirmed that the risk of stroke increases proportionally to the loss of CAL.…”

“…The authors performed clinical (gingival index, BoP, probing depth, CAL) and radiological (bone loss) periodontal examinations [12,45,46,47,48,49,50]. The methodological differences were also demonstrated at the level of stroke diagnosis.…”

“…The studied groups differed in size from 95-29,584 individuals. The European population was analyzed in the two cohort studies [5,14] and two case-control studies [49,50]. To our knowledge, no studies in this field has been performed in the Polish population.…”

“…This relationship was significant in the patients under 60 years of age with normal blood pressure [48]. Research conducted by Dorfer et al, based on the assessment of DMFT, CAL, PD, GI, PI and radiological bone loss, demonstrated that patients who have had an ischemic stroke had an increased loss of CAL, compared to the control group [49]. The risk of ischemic stroke increased 7.4 times when CAL loss was > 6 mm, 18.3 times when GI was > 1.2, and 3.6 times when radiographic bone loss was present [49].…”

“…Research conducted by Dorfer et al, based on the assessment of DMFT, CAL, PD, GI, PI and radiological bone loss, demonstrated that patients who have had an ischemic stroke had an increased loss of CAL, compared to the control group [49]. The risk of ischemic stroke increased 7.4 times when CAL loss was > 6 mm, 18.3 times when GI was > 1.2, and 3.6 times when radiographic bone loss was present [49]. Grau et al, on the group of 771 individuals, showed that patients with advanced periodontitis where CAL was > 6mm were 4.3 times more likely to have an ischemic stroke.…”